Targeting KDM1B-dependent miR-215-AR-AGR2-axis promotes sensitivity to enzalutamide-resistant prostate cancer
Donge Tang1,2, Jiaxi He3, Yong Dai2
1Research Center of Medical Sciences, Guangdong Provincial People's Hospital, Guangdong Academy of Medical Sciences, Guangzhou, China.
Abstract:
Post-translational modifications of histones by histone demethylases plays an important role in the regulation of gene transcription and are implicated in cancers. Castrate resistant prostate cancer (CRPC) is often driven by constitutively active androgen receptor and commonly becomes resistant to established hormonal therapy strategies such as enzalutamide as a result. However, the role of KDM1B involved in next generation anti-enzalutamide resistance and the mechanisms of KDM1B regulation are poorly defined. Here, we show that KDM1B is upregulated and correlated with prostate cancer progression and poor prognosis. Downregulation of miR-215 is correlated with overexpression of KDM1B in enzalutamide-resistant prostate cancer cells, which promotes AR-dependent AGR2 transcription and regulates the sensitivity to next generation AR-targeted therapy. Inhibition of KDM1B significantly inhibits prostate tumor growth and improves enzalutamide treatments through AGR2 suppression. Our studies demonstrate inhibition of KDM1B can offer a viable therapeutic option to overcome enzalutamide resistance in tumors with deregulated miR-215-KDM1B-AR-AGR2 signaling axis.
Insights
Histone demethylase KDM1B is upregulated in enzalutamide-resistant prostate cancer, driving tumor growth. Inhibiting KDM1B may overcome resistance by targeting the miR-215-KDM1B-AR-AGR2 pathway.
Area of Science:
- Biochemistry
- Molecular Biology
- Oncology
Background:
- Histone demethylases regulate gene transcription and are linked to cancer development.
- Castrate-resistant prostate cancer (CRPC) often develops resistance to therapies like enzalutamide due to androgen receptor signaling.
- The role of KDM1B in enzalutamide resistance and its regulatory mechanisms in prostate cancer are not well understood.
Purpose of the Study:
- To investigate the role of KDM1B in enzalutamide-resistant prostate cancer.
- To elucidate the regulatory mechanisms of KDM1B in this context.
- To evaluate KDM1B inhibition as a therapeutic strategy against enzalutamide resistance.
Main Methods:
- Analysis of KDM1B expression in prostate cancer tissues and correlation with progression and prognosis.
- Investigation of the relationship between miR-215 and KDM1B in enzalutamide-resistant prostate cancer cells.
- Assessment of the impact of KDM1B inhibition on tumor growth and response to enzalutamide therapy, focusing on AGR2 suppression.
Main Results:
- KDM1B is upregulated in prostate cancer and correlates with poor prognosis.
- Downregulation of miR-215 is associated with KDM1B overexpression in enzalutamide-resistant cells.
- KDM1B promotes androgen receptor-dependent AGR2 transcription, affecting therapy sensitivity.
- Inhibition of KDM1B suppresses tumor growth and enhances enzalutamide efficacy via AGR2 suppression.
Conclusions:
- KDM1B plays a critical role in enzalutamide resistance in prostate cancer.
- The miR-215-KDM1B-AR-AGR2 signaling axis is a key driver of resistance.
- Targeting KDM1B presents a promising therapeutic approach to overcome enzalutamide resistance in prostate cancer.
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